Individual
DUWAYNE JOHN CROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
8000 N SPRING GULCH RD, JACKSON, WY 83001-9307
(520) 393-9069
Mailing address
8000 N SPRING GULCH RD, JACKSON, WY 83001-9307
(520) 393-9069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10570
CA
Other
Enumeration date
08/12/2021
Last updated
08/18/2021
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